OB

Question 1

What is conduction?

Answer 1

transfer of heat from one object to another when the two objects are in direct contact with each other
- cold mattress, scale, circumcision board

Question 2

What is convection?

Answer 2

flow of heat from the body surface to cooler surrounding air or to air circulating over a body surface; breeze from a window being open

• cool breeze that flows over the newborn
• keep away from doors & windows

Question 3

What is evaporation?

Answer 3

loss of heat when a liquid is converted to a vapor

- when baby is born and covered in amniotic fluid then the air evaporates it

Question 4

What is radiation?

Answer 4

loss of body heat to cooler, solid surfaces that are in proximity but not in direct contact with the newborn; standing near the closed window; close proximity

Question 5

What is naegel rule?

Answer 5

first day of last normal period - 3 months + 7 days + 1 year

Question 6

Why do we give Rhogam?

Answer 6

given to prevent cell insensitive

given when a mother is - and a fetus is +

Question 7

Coombs test for Rhogam?

Answer 7

antibody screen to determine isoimmunity to Rh antigen

Question 8

What is GTPAL?

Answer 8

Gravida/ Term (38-42 weeks)/ Preterm (~20-37 weeks)/ Abortions (

Question 9

When is Rhogam given, in terms of timing?

Answer 9

given at 28-32 gestational weeks and within 72 hours after birth

Question 10

When does menstruation return for BOTTLE feeding?

Answer 10

6-8 weeks

Question 11

When does menstruation return for BREAST feeding?

Answer 11

3 months- 1 year

Question 12

When does the primitive heart fully developed?

Answer 12

week 8.

Question 13

When can fetal gender be determined?

Answer 13

12 weeks.

Question 14

What is placenta previa? s/s, NI, and risk factors?

Answer 14

• bleeding condition that occurs during the last two trimesters of pregnancy; placenta implants over the cervical os
• PAINLESS, visible bright red blood
• NI: avoidance of vaginal exams & prepare for possible C section birth
• risk factors: maternal age, multiple C sections, infertility treatments

Question 15

What is abruptio placentae? s/s, NI, and risk factors

Answer 15

• separation of the normally located placenta after the 20th week of gestation; prior to birth that leads the hemorrhage
• s/s: sudden, constant, PAINFUL, knife-like abdominal pain; blood is dark (visible or concealed)
• NI: volume replacement (2 large bore IV & transfusion of fresh-frozen plasma), bed rest in left lateral position, alert for signs of DIC (bleeding gums, tachycardia, oozing from IV site, petechiae), catheter

Question 16

What is mild preeclampsia? and NI?

Answer 16

> 140/>90 after 20 weeks, resolving 12 weeks
may be placed on bed rest (on lateral recumbent position)
monitor BP every 4-6 hours while awake

Question 17

What is eclampsia?

Answer 17

> 160/ >110 with marked proteinuria and seizure

Question 18

What is admin to prevent seizure/ further seizure?

Answer 18

magnesium sulfate

Question 19

What is kept at the bedside to prevent magnesium toxicity?

What are the s/s of toxicity?

Answer 19

calcium gluconate

decreased respirations and loss of deep tendon reflexes

Question 20

When do organs begin to form?

Answer 20

4 weeks.

Question 21

When do we screen woman for gestational diabetes?

Answer 21

• screen at 1st prenatal visit; recheck for all high risk pregnant woman at 24-28 weeks
• infants can be large or small

Question 22

What happens when LH surges?

Answer 22

Responsible for affecting the final development and rupture of the mature follicle at the time of OVULATION to produce estrogen.

Question 23

What is the function on FSH?

Answer 23

Stimulates the ovary to produce 5-20 immature follicles, Highest and most important during first week of follicular phase.

Question 24

What are x-linked recessive inheritance disorders? (3)

Answer 24

1. Hemophilia
2. Color Blindness
3. Duchenne muscular dystrophy

Question 25

How is x-linked recessive disorders passed on?

Answer 25

No male-to-male transmission. Any man with disorder will have carrier daughters. If a woman is a carrier: 25% chance of affected son, 25% carrier daughter. 25 % chance of unaffected son, 25% non carrier daughter.

Question 26

What are the three types of lochia's?

Answer 26

lochia rubra- deep-red; first 3-4 days lochia serosa- pinkish brown; 3-10 days lochia alba- creamy white or light brown; 10-14 days and can last 3-6 weeks *C-sections have less blood

Question 27

How does postpartum psychosis differ from depression?

Answer 27

1. Delusion / Hallucinations 2. Thoughts of suicide and infanticide 3. Extreme disorganization of thought 4. Mania and bizarre behaviors.

Question 28

What immunizations should you not give a pregnant woman? (5)

Answer 28

1. MMR and varicella 2. TB (BCG) 3. Influenza nasal spray (live, attenuated) 4. Meningococcal 5. Typhoid

Question 29

GBS-- group b strep

Answer 29

mother is screened at 35-37 weeks-- if positive, treat with antibiotics prior to birth--- if baby contracts it, can develop sepsis, pneumonia, meningitis

Question 30

If a baby is going through cold stress, what can't you give?

Answer 30

Insulin.

Question 31

Signs and symptoms of cold stress: (6)

Answer 31

1. Lethargic 2. Hypotonic 3. Weak 4. Glucose consumption leading to hypoglycemia. 5. Oxygen and respiratory issues 6. Acidosis and jaundice

Question 32

What is the duration of the pre-embryonic stage?

Answer 32

fertilization- 2nd week

Question 33

What is the duration of the embryonic stage?

Answer 33

end of the 2nd week-8th week

Question 34

What is the duration of the fetal stage?

Answer 34

end of the 8th week-birth

Question 35

Signs and symptoms of low platelets?

Answer 35

Bleeding, bruising, and petechiae.

Question 36

What is the role of the baby in a mother who has digestion diabetes?

Answer 36

The result is hypoglycemia as glucose is diverted to the fetus

Question 37

What is Chadwicks sign?

Answer 37

Bluish-purple coloration of vaginal mucosa and cervix

Question 38

approaching parents about fetal loss

Answer 38

provide mementos to validate death allow unlimited time with stillborn couples need to talk about it with the RN listening assist in grief process to prep for future pregnancies

Question 39

What is HELLP and the s/s?

Answer 39

Hemolysis- resulting in anemia and jaundice Elevated Liver enzymes Low Platelet count s/s: nausea, malaise, epigastric or RUQ pain, demonstrable edema

Question 40

What is the BP range and treatment for severe preeclampsia/ HELLP?

Answer 40

>160/>110, proteinuria >500 mg in 24 hours | treatment: delivery of baby via vaginal delivery

Question 41

What is lightening?

Answer 41

Fetal head begins to descend into the pelvis. Breathing becomes easier but pressure in lower back and bladder (increasing urinary frequency).

Question 42

What is quickening?

Answer 42

When the woman begins to feel or perceive fetal movements for the first time.

Question 43

Signs and symptoms of low platelets?

Answer 43

Bleeding, bruising, and petechiae.

Question 44

s/s of amniotic fluid embolism:

Answer 44

most common is difficulty breathing

Question 45

What is the role of the baby in a mother who has digestion diabetes?

Answer 45

The result is hypoglycemia as glucose is diverted to the fetus

Question 46

why do we do amniocentesis?

Answer 46

- to detect chromosomal abnormalities and several hereditary metabolic defects in the fetus before birth - used to confirm fetal abnormalities - genetic abnormalities tested at 11 and 14 weeks - rather than a “best guess” diagnosis

Question 47

Where is the baby at zero (0) station?

Answer 47

The presenting part is even to the ischial spines.

Question 48

Where is the baby if they are -1 station?

Answer 48

1 cm above ischial spines.

Question 50

Where are FSH and LH released from?

Answer 50

Anterior pituitary